Edgewood Rehab & Living Ctr - Farmington Nursing Home
General Information
UPDATEFederal Provider Number
205131
Provider Name
EDGEWOOD REHAB & LIVING CTR
Provider Address
221 Fairbanks Rd
FARMINGTON, ME 4938
FARMINGTON, ME 4938
Provider Phone Number
(207) 778-3386
Provider SSA County
30
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
33
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH COUNTRY ASSOCIATES, INC
Date First Approved to Provide Medicare and Medicaid services
1993-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.45484
Reported LPN Staffing Hours per Resident per Day
0.25323
Reported RN Staffing Hours per Resident per Day
1.16290
Reported Licensed Staffing Hours per Resident per Day
1.41613
Reported Total Nurse Staffing Hours per Resident per Day
4.87097
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11129
Expected CNA Staffing Hours per Resident per Day
2.85027
Expected LPN Staffing Hours per Resident per Day
0.66705
Expected RN Staffing Hours per Resident per Day
1.04487
Expected Total Nurse Staffing Hours per Resident per Day
4.56219
Adjusted CNA Staffing Hours per Resident per Day
2.97415
Adjusted LPN Staffing Hours per Resident per Day
0.31509
Adjusted RN Staffing Hours per Resident per Day
0.83160
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30372
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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